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NAN Cqi UO2 AP'p ADI (Title 23 United States Code Section 112 and Public Contract Code Section 7106) To this CITY Or SANTA ANA DUARTMENT OF PUBLIC WOM(S In accordance with Title 23 (Jutted States Cade Section 112 and Public C'ontraol Code 7106 the BIDDER declares that the bid 1s not made h) the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid Isgenuine and not collusive or sbann; drat Otto 1s3IDMR has not direcflyor Indirectly induced or solicited any other BIDDER to put in a false or sham bid, and has not directly or liadlreotly colluded, conspired, connived or Agreed With any 13IDDER or anyone also to put In a sham bid, or fluat anyone shall reftain ti'orti bidding; that the BIDDER has not lit any manner, directly or :indirectly, sought by agroemout, communication, or conferenoo with anyone to fix, the bill price of the 131i3DER or any BIDDER, or to i"rx any cvsrhead, profit, or cost element of tluobid pried, or of that of any other 1311)DER, or to meenroanyadvatuage against thepubho body awarding the contract of anyone interested In the proposed contract; that at1 statements contained in the bid UO true; and, father, that the BIDDER .has not, directly or indireofly; submitted his Sher bid prize or'nny breakdown thereof, or the contents thereof, or divalged information or data, relative thereto, or paid, and will not pay, any fee to any corporation; partnership, cpinpalhy association, organization, bid depository, or to any member or agent thereorta eff'oetunto a collusive or shunt bid, Note, The above Non -collusion Affidavit Is pill of the Proposal, Signing this Proposal oil the signature portion thereof hall also constitute sigitature of this Ikon -collusion Affidavit, BIDDERS are caution ad that making a Ears ert Boa ior�.ry subj eotthe corlifler to criminal prosmi ton, Signed State of California County of Orange Subscribed and sworn to (or affirmed) before me- on this 16th clay of March '2018, by :_ct t Epp=,,¢ �-� 'proved to me on the basis of satisfactory evidenoe to be the persoru(s) who appeared before me, 9 ' `� ratiarA.Asves etary Pulrlio Sigtr rra Notary Public Seal Notary Public - California orargecounty C9nm955100 F A I A4573 My Curnm.rxrylrvsApr 30, 2W I . n City of Santa Ana RFP u Page A3.1